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Baker - MS Surg/Pain

Baker's review for MS final 2010-11 - surgery/pain

QuestionAnswer
send these to surgery with patient, appropriately labeled, so patient can follow commands post-op hearing aids and glasses if necessary
NPO includes these things food, fluis, cigarettes, gum, mints
avoid this in the pre-op prep if the patient has a shellfish allergy betadine skin preps
when should a pre-op ATB be given 30-60 minutes pre-op - usually given in OR holding room
these questions need to be asked over and over pre-operatively allergies and specific site of surgery
this should be done for the diabetic patient who is NPO but the sliding scale calls for coverage notify the MD
this should be done when the OR states they are coming for the patient have the patient empty their bladder
do this if the patient has trouble moving the neck notify anesthesia as they may be very hard to intubate during surgery
Versed is a good drug to use for sedation for this reason it's amnesic effect
Atropine, an agent that will dry secretions, should not be used on this population of patients those with glaucom, urinary retention, or bowel obstruction
Lovenox is given post-op to reduce this the risk of post-op thrombi
include this in the pre-op history CURRENT meds including herbs and vitamins, OTC meds, and steroids within the past YEAR
smokers are more prone to these complications post-op atelectasis and Pneumonia
this is the best way to prevent most post-op complications early ambulation
care for evisceration after abdominal surgery cover with moist sterile towel and call the surgeon
how is pain perceived? individualized - it is what the patient says it is, where the patient say it is, and when the patient says it is
how do the Chinese view pain relief as a balance of energies
Created by: lbaker8805
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